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. 2020 Jan 29;27(1):30–37. doi: 10.1097/PHH.0000000000001082

TABLE 2. Drivers of Turnover—Perspective From Leaders (DAWNS) and Staff (PH WINS) Respondents in State Health Agency Central Officesa.

Leaders Perspective—DAWNS Staff Perspective—PH WINS
What Drives Turnover? (n = 193) (n = 1287) P
Pay 76% 49% <.001
Lack of opportunities for advancement 74% 49% <.001
Other opportunities outside agency 68% 21% <.001
Work overload or burnout 43% 21% <.001
Stress 37% 21% <.001
Retirement 34% 3% <.001
Job satisfaction 24% 32% .025
Weakening of benefits 18% 18% 1
Satisfaction with your supervisor 16% 21% .108
Lack of acknowledgement or recognition 14% 27% .001
Lack of flexibility 13% 17% .163
Leadership changeover 12% 14% .452
Lack of training 5% 16% .001

Abbreviations: DAWNS, Directors' Assessment of Workforce Needs Survey; PH WINS, Public Health Workforce Interests and Needs Survey.

aData are shown as DAWNS versus PH WINS. Interpret as follows: In total, 37% of leaders identified stress as a driver of turnover and 21% of staff who are considering leaving selected it as a reason they are considering leaving. In total, 193 DAWNS and 1287 PH WINS respondents answered to these questions. PH WINS respondents only were presented with these items if they indicated they were considering leaving their organization in the next year.